Successful surgical management of bronchial dehiscence after single-lung transplantation.
A case of bronchial dehiscence despite bronchial omentopexy is described in a patient nine days after single-lung transplantation. Rethoracotomy was undertaken as soon as the diagnosis was established before superinfection occurred. Necrotic bronchus was excised, with the anastomosis sited distally on the donor bronchus. The omentum was necrotic, and the new anastomosis was wrapped with a vascularized pedicle of pericardium. Six months after this procedure, the patient remains well.
Kirk
A J
AJ
Cardiopulmonary Transplant Unit, Freeman Hospital, Newcastle upon Tyne, England.
Conacher
I D
ID
Corris
P A
PA
Ashcroft
T
T
Dark
J H
JH
D000714:Anastomosis, Surgical; D001980:Bronchi / Q000473:pathology / Q000601:surgery*; D001982:Bronchial Diseases / Q000601:surgery*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009852:Omentum / Q000637:transplantation; D010496:Pericardium / Q000637:transplantation; D013529:Surgical Wound Dehiscence / Q000601:surgery*